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  4. Wearable-based mobile health app in gastric cancer patients for postoperative physical activity monitoring: Focus group study
 
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Wearable-based mobile health app in gastric cancer patients for postoperative physical activity monitoring: Focus group study

Journal
Journal of Medical Internet Research
Journal Volume
21
Journal Issue
4
Date Issued
2019
Author(s)
JIN-MING WU  
TE-WEI HO
YAO-TING CHANG
HUNGCHIEH HSU
CHIA JUI TSAI
FEI-PEI LAI  
MING-TSAN LIN  
DOI
10.2196/11989
URI
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85067783227&doi=10.2196%2f11989&partnerID=40&md5=c41988fdb053707db00932760a8505d0
https://scholars.lib.ntu.edu.tw/handle/123456789/457158
Abstract
Background: Surgical cancer patients often have deteriorated physical activity (PA), which in turn, contributes to poor outcomes and early recurrence of cancer. Mobile health (mHealth) platforms are progressively used for monitoring clinical conditions in medical subjects. Despite prevalent enthusiasm for the use of mHealth, limited studies have applied these platforms to surgical patients who are in much need of care because of acutely significant loss of physical function during the postoperative period. Objective: The aim of our study was to determine the feasibility and clinical value of using 1 wearable device connected with the mHealth platform to record PA among patients with gastric cancer (GC) who had undergone gastrectomy. Methods: We enrolled surgical GC patients during their inpatient stay and trained them to use the app and wearable device, enabling them to automatically monitor their walking steps. The patients continued to transmit data until postoperative day 28. The primary aim of this study was to validate the feasibility of this system, which was defined as the proportion of participants using each element of the system (wearing the device and uploading step counts) for at least 70% of the 28-day study. “Definitely feasible,” “possibly feasible,” and “not feasible” were defined as ?70%, 50%-69%, and <50% of participants meeting the criteria, respectively. Moreover, the secondary aim was to evaluate the clinical value of measuring walking steps by examining whether they were associated with early discharge (length of hospital stay <9 days). Results: We enrolled 43 GC inpatients for the analysis. The weekly submission rate at the first, second, third, and fourth week was 100%, 93%, 91%, and 86%, respectively. The overall daily submission rate was 95.5% (1150 days, with 43 subjects submitting data for 28 days). These data showed that this system met the definition of “definitely feasible.” Of the 54 missed transmission days, 6 occurred in week 2, 12 occurred in week 3, and 36 occurred in week 4. The primary reason for not sending data was that patients or caregivers forgot to charge the wearable devices (>90%). Furthermore, we used a multivariable-adjusted model to predict early discharge, which demonstrated that every 1000-step increment of walking on postoperative day 5 was associated with early discharge (odds ratio 2.72, 95% CI 1.17-6.32; P=.02). Conclusions: Incorporating the use of mobile phone apps with wearable devices to record PA in patients of postoperative GC was feasible in patients undergoing gastrectomy in this study. With the support of the mHealth platform, this app offers seamless tracing of patients’ recovery with a little extra burden and turns subjective PA into an objective, measurable parameter. ? Jin-Ming Wu, Te-Wei Ho, Yao-Ting Chang, ChungChieh Hsu, Chia Jui Tsai, Feipei Lai, Ming-Tsan Lin.
SDGs

[SDGs]SDG3

Publisher
Journal of Medical Internet Research
Type
journal article

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